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Anthem, Inc. Manager of Clinical Utilization Management in Cerritos, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Position: Manager of Clinical Utilization Management Location: Cerritos, CA Shift: Monday - Friday 8am - 5pm

The Manager of Clinical Utilization Management is responsible for the daily management of the department. Primary duties may include, but are not limited to:

  • Supervises workflow and performance of associates.

  • Assists in coordination and development of UM quality initiatives.

  • Participates in strategic planning and budget processes.

  • Ensures compliance with departmental policies and procedures.

  • Works in conjunction with other UM staff to improve service quality initiatives, develop audit tools, and meet NMIS and other quality standards.

  • Provides quality control services such as call monitoring.

  • Develops and implements associate training.

  • Performs audits to monitor efficiency and compliance with policies.

  • Prepares reports.

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

  • Education: HS diploma or equivalent required, RN or BSN preferred

  • Experience: 4 years operational experience in progressively complex customer service or call center; or any combination of education and experience which would provide an equivalent background.

  • Knowledge, Skills, & Abilities:

  • Strong oral, written and interpersonal communication skills

  • Strong problem-solving and analytical skills.

AnEqualOpportunityEmployer/Disability/Veteran

REQNUMBER: PS39988

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